MINDEN PHYSICIAN PRACTICES LLC (NPI# 1497986764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497986764 |
Entity Type | Organization |
Organization Name | MINDEN PHYSICIAN PRACTICES LLC |
Practice Address |
1 Medical Plaza Pl Minden LA 71055-3330 |
Mailing Address |
346 Homer Rd Minden LA 71055-2834 |
Practice Telephone | 3183772321 |
Mailing Telephone | 3182268202 |
Enumeration Date | 2009-08-04 |
Last Update Date | 2020-08-28 |
Authorized Official Name | SHANNON DAWN BROWN (DIRECTOR) |
Authorized Official Telephone | 3183827296 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 2158180 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
101 Murrell St Ste 1, Minden, LA 710553462 | 3183775000 | 3183775111 |
170 Healthcare Plaza Dr., Haughton, LA 71037 | 3183827299 | 3187060023 |
102 S Monroe St Ste B, Minden, LA 710553357 | 3183827290 | 3183827292 |
113 E Church Street, Ste 1, Springhill, LA 71075 | 3183778855 | 3183778837 |
812 Broadway St, Minden, LA 710553309 | 3183774534 | 3183774535 |
216 W Union St Ste A, Minden, LA 710553208 | 3182996334 | 3182996332 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699392589 | Minden Physician Practices LLC | Clinic/Center | 170 Healthcare Plaza, Haughton, LA 71037 | 2020-06-26 |
1265777957 | Minden Physician Practices LLC | Family Medicine | 102 N Monroe St, Ste B, Minden, LA 71055-3332 | 2012-12-06 |
1730718594 | Minden Physician Practices LLC | General Practice | 346 Homer Rd, Minden, LA 71055-2834 | 2020-04-03 |
1063826808 | Minden Physician Practices LLC | Podiatrist | 2001 Doctors Dr, Springhill, LA 71075-4526 | 2014-06-19 |
1023449212 | Minden Physician Practices LLC | Podiatrist | 101 Murrell St, Ste 1, Minden, LA 71055-3410 | 2013-12-12 |
1821355264 | Minden Physician Practices LLC | Clinic/Center | 102 Office Park Dr, Minden, LA 71055-3086 | 2012-04-23 |
1538432711 | Minden Physician Practices LLC | Emergency Medicine | 102 Office Park Dr, Minden, LA 71055-3086 | 2012-02-17 |
1821370891 | Minden Physician Practices LLC | Obstetrics & Gynecology | 431 Homer Rd, Minden, LA 71055-2933 | 2011-09-15 |
1285916254 | Minden Physician Practices LLC | Obstetrics & Gynecology | 1 Medical Plaza Pl, Minden, LA 71055-3330 | 2011-09-15 |
1720360795 | Minden Physician Practices LLC | Obstetrics & Gynecology | 427 Homer Rd, Minden, LA 71055-2933 | 2011-09-15 |
Street Address |
1 MEDICAL PLAZA PL |
City | MINDEN |
State | LA |
Zip Code | 71055-3330 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114907649 | Larry Joe Haley | Nurse Anesthetist, Certified Registered | 1 Medical Plaza Pl, Minden, LA 71055-3330 | 2006-01-19 |
1972156040 | Angela Potter Dison | Nurse Practitioner | 1 Medical Plaza Pl, Minden, LA 71055-3330 | 2019-07-18 |
1710456736 | Minden Anesthesia LLC | Anesthesiology | 1 Medical Plaza Pl, Minden, LA 71055-3330 | 2018-11-20 |
1942752407 | Tanisha Raion Allen | Registered Nurse | 1 Medical Plaza Pl, Minden, LA 71055-3330 | 2016-11-01 |
1689125072 | Minden Medical Center | Social Worker | 1 Medical Plaza Pl, Minden, LA 71055-3330 | 2016-10-20 |
1295280436 | Philip Jake Killgore | Nurse Anesthetist, Certified Registered | 1 Medical Plaza Pl, Minden, LA 71055-3330 | 2016-08-17 |
1659735306 | Webster Physician Services, LLC | Physician Assistant | 1 Medical Plaza Pl, Minden, LA 71055-3330 | 2016-04-08 |
1285916254 | Minden Physician Practices LLC | Obstetrics & Gynecology | 1 Medical Plaza Pl, Minden, LA 71055-3330 | 2011-09-15 |
1255619664 | Shara D Farmer | Registered Nurse | 1 Medical Plaza Pl, Minden, LA 71055-3330 | 2011-08-02 |
1174801575 | Stefanie T Bond | Dietitian, Registered | 1 Medical Plaza Pl, Minden, LA 71055-3330 | 2011-08-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053911339 | Walter Matheny II | Nurse Practitioner | 216 W Union Street Ste A Minden, Minden, LA 71055 | 2020-10-27 |
1194331579 | Minden Family Pharmacy LLC | Pharmacy | 120 Homer Rd, Minden, LA 71055 | 2020-09-21 |
1003469479 | Premier Family Clinic | Nurse Practitioner | 102 Office Park Dr., Minden, LA 71055 | 2019-07-24 |
1952803389 | Regina Flournoy | Case Manager/Care Coordinator | 561 Angi Rd, Minden, LA 71055 | 2018-03-01 |
1902322233 | New Concept Development Center | Clinic/Center | 15365 Hwy 80, Minden, LA 71055 | 2017-08-18 |
1396269304 | Tashalana Walker | Counselor | 601 Homer Rd., Minden, LA 71055 | 2017-08-01 |
1992227029 | Kathryn Anne Landreneau | Nurse Practitioner | 101 Murrell St Ste 2, Minden, LA 71055 | 2017-07-11 |
1639699937 | Shykiia Hawkins | Counselor | 409 Meadowview Drive, Minden, LA 71055 | 2017-06-27 |
1053851147 | Shatoria Moore | Case Manager/Care Coordinator | 305 Homer Rd, Minden, LA 71055 | 2017-03-08 |
1821547258 | Sheretha Harrison | Counselor | 1008 Brenda Cir, Minden, LA 71055 | 2016-09-27 |
Find all providers in zip 71055 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.